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General NPI Number Information
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NPI Number | 1649224189
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Entity Type | Organization
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Legal Business Name | ALLEGHENY CENTER FOR AMBULATORY SERVICES
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 324 EAST ANTIETAM STREET SUITE 304
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City | HAGERSTOWN
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State | MD
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Zip | 21740
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Country | US
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Telephone | 301-739-7790
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Fax | 301-739-4093
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Provider Business Mailing Address
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Address Line | 324 EAST ANTIETAM STREET SUITE 304
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City | HAGERSTOWN
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State | MD
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Zip | 21740
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Country | US
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Telephone | 301-739-7790
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Fax | 301-739-4093
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARYEH LEV HERRERA
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Credential | MD FACS
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Telephone | 301-739-7790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | A1280
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License Number State | MD
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